Please submit the form below.

Our suggested minimum donation is 120 NIS or $36 per recipient.

Your name (to be shown on the card)

Your Email Address

Required delivery date

DD/MM/YYYY Format

MM

DD

YYYY

Donation

(Please specify amount and currency)

Name of recipient to appear on the card

The recipient's email address (if you want us to send the card)

Personal message to be shown on your card

(In addition to information we will include about the Michael Levin Base)

How do you want the card to be signed off?

How do you want the card to be sent?

(We will send you a draft before sending)

Any other comments